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1 Nutraceutical Bioactive compounds Prof. Silvana Hrelia Department for Life Quality Studies Alma Mater Studiorum-University of Bologna (Italy) Workshop Protective / preventive role of bioactive food components in human health Novi Sad, December 13-14, 2016 Nutrition to support well being Nutritional discoveries from the earliest days of history have had a positive effect on our health and well-being. 400 B.C. -- Hippocrates, the "Father of Medicine", said to his students, "Let thy food be thy medicine and thy medicine be thy food". He also said “A wise man should consider that health is the greatest of human blessings.”

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Page 1: Workshop Protective / preventive role of bioactive food ...foodstars.uns.ac.rs/files/Modal3/presentations...Workshop Protective / preventive role of bioactive food components in human

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Nutraceutical Bioactive compounds

Prof. Silvana Hrelia

Department for Life Quality StudiesAlma Mater Studiorum-University of

Bologna (Italy)

Workshop

Protective / preventive role of bioactive food components in human health

Novi Sad, December 13-14, 2016

Nutrition to support well being

• Nutritional discoveries from the earliest days of history have had a positive effect on our health and well-being.

• 400 B.C. -- Hippocrates, the "Father of Medicine", said to hisstudents, "Let thy food be thymedicine and thy medicine be thyfood".

He also said “A wise man shouldconsider that health is the greatestof human blessings.”

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“YOU ARE WHAT YOU EAT” ?

Anthelme Brillat-Savarin, Physiologie

du Gout, ou Meditations de

Gastronomie Transcendante, 1826

"Dis-moi ce que tu manges, je te

dirai ce que tu es.“

He was simply stating that the food one eats has a bearing on what one's state of mind and health.

• The word nutrition itself means “The

process of nourishing or being nourished,

especially the process by which a living

organism assimilates food and uses it for

growth and replacement of tissues.”

• Today more than ever, obtaining

nutritional knowledge can make a big

difference in our lives

What is Nutrition?

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Nutrition 1.0

• support the growth,

• maintain body weight,

• prevent the development of dietary deficiencydiseases such as rickets, goiter, anemia, scurvy, etc

BALANCED DIET

…needs to have a balance of macronutrients / energy ( fats, proteins, and carbohydrates ) and micronutrients to meet the needs for :

OPTIMUM NUTRITION

…eating the right amounts of nutrientson a proper schedule to…

achieve the best performance and the longest possible lifetime in good health,

decrease the risk of

chronic/degenerative diseases

Nutrition 2.0

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The era of Functional food and

Nutraceutical

• Consumers are increasingly interested in the health benefits of foods and have begun to look beyond the basic nutritional benefits of food to

the disease prevention and health enhancingcompounds contained in many foods.

• This combined with a more widespreadunderstanding of how diet affects disease, health-care costs and an aging population havecreated a market for functional foods and naturalhealth products

Functional Food

• a food can be regarded as “functional” if it

is satisfactorily demonstrated to affect

beneficially one or more target functions in

the body, beyond adequate nutritional

effects, in a way which is relevant to eitherthe state of well-being and health or the

reduction of the risk of a disease''.

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Functional Foods

Natural food?

Fortified food?

Modified food?

Designer food?

Working Definition: Foods that may provide a health benefit beyond basic nutrition.

??

What is a Functional Food?

Health care costs

Life span increase

Life style changesChronic/degenerative diseases

Scientific research

New technologies

Functional food

Health

Life quality

Ageing

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FOSHU“Food for Specified Health Use”

The concept of functional foods was established in Japan in 1991

FOSHU must be approved by the Minister of Health and Welfare

after the submission of comprehensive science-based evidence

European Commission Concerted Action on Functional Food Science in Europe - FUFOSE

cohordinated by the International Life Scence Institute (ILSI) Europe (1995-1998)

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European consensus document

The unique features of functional foods are:

• Conventional or every day food;

• Consumed as part of a normal diet;

• Composed of naturally occurring components;

• Having a positive effect on physiologicalfunction beyond nutritive value (basic nutrition);

• Having authorized and scientificallysubstantiated health claims

Scientific proof

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Health Claims

• The EU Concerted Action supports

the development of two types of

health claims relevant to functional

foods, which must always be valid in

the context of the whole diet and must

relate to the amounts of foods

normally consumed.

Health Claims

• TYPE A: "Enhanced function“ claims that referto specific physiological, psychological functionsand biological activities beyond their establishedrole in growth, development and other normalfunctions of the body. This type of claim makesno reference to a disease or a pathological state

• TYPE B "Reduction of disease-risk“ claimsthat relate to the consumption of a food or food component that might help reduce the risk of a specific disease (e.g. folate can reduce a woman's risk of having a child with neural tube defects, and sufficient calcium intake may help to reduce the risk of osteoporosis in later life).

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Nutraceuticals

• Nutraceutical, a term combining the words “nutrition” and “pharmaceutical”, is a food costituent that provides healthand medical benefits, including the prevention and treatment of disease

• The term nutraceutical was originallydefined by Dr. Stephen L. DeFelice, founder and chairman of the Foundation of Innovation Medicine (FIM), Crawford, New Jersey (USA)

• These food costituents are chemical components

mainly present in plant food or of microbial

sources, and provide medicinal benefits valuable to

long-term health. Examples of these nutraceutical

chemicals include probiotics, antioxidants and phytochemicals

The regular fruit and vegetable consumption

is associated to a reduced risk of

chronic/degenerative diseases.

Nutraceuticals

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Nutraceutical diet

Institutions like FAO and WHO recommenda daily intake of at least 400 grams of fruitsand vegetables a day, if possible in 5 different servings

Eat the colours of life

To get the most benefits

out of eating fruits and

vegetable, you should eat

at least one daily serving

from each of the five

color groups:

blue/purple,

green,

white,

yellow/orange

red

as the "Color Way"

campaign suggests.

This campaign is also

known as "The Five Color

Diet" or the "5 A Day"

diet.

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By eating fruits and vegetables of a varietyof different colors, one can get the best all-around health benefits. Each different color fruitand vegetables containsunique health

components that are essential to our health.

Non nutrient components: Phytochemicals

Phytochemicals are

non-nutritive plantchemicals that have

protective or disease

preventive properties.

They are non-essentialnutrients, meaning that

they are not required by

the human body for

sustaining life.

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Classification of dietary phytochemicals

Rui RH. J Nutr 134: 3479S-3485S (2004)

Sinergy of dietary phytochemicals

Dose–response of antioxidant

activity of orange, apple, grape,

blueberry and 4-way

combination.

The benefit of a diet rich in fruits

and vegetables is attributed to

the complex mixture of

phytochemicals present in these

and other whole foods This

partially explains why no single

antioxidant can replace the

combination of natural

phytochemicals in fruits and

vegetables in achieving the

observed health benefits.

Rui RH. J Nutr 134: 3479S-3485S (2004)

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It is important to differentiate the pharmacological dose from the

physiological (or nutritional) dose.

Pharmacological doses are used clinically to treat specific diseases in

certain situations and require a doctor’s prescription;

physiological (or nutritional) doses are used to improve or maintain

optimal health, such as in foods.

The pharmacological dose is not equal to the physiological (or nutritional)

dose and, in some cases, can be toxic for long-term use.

Currently, there are no recommended dietary allowances for

phytochemicals. Therefore, it is not wise to take megadoses of purified

phytochemicals as dietary supplements before the appearance of strong

supporting scientific evidence.

Pharmacological vs physiological dose

The analysis of data collected in 12 different studies, which enrolled

280000 subjects revealed that people consuming 3-5 or more than 5

servings/day had a risk reduction for coronary heart disease of 7%

and 17%, respectively when compared with subjects who consumed

less than 3 servings/day.

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Phytochemicals In the Spotlight

• Phytochemicals have been discovered

within the past two decades.

• They are in the “Nutrition Spotlight”and are the “New Nutritional Frontier.”

• Research present in

both in the private and public sectors.

So What are Phytochemicals?

• Phytochemicals are “plant chemicals.”

• They are naturally occurring compounds.

• However, most of their functions/roles in most plants are unknown.

• They provide healthier benefits and treat/prevent diseases.

• There are tens of thousands in the foods we eat (especially fruits, vegetables, and grains).

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Phytochemicals: main actions

• Detoxifiers

– helps body recognize and destroy toxins

• Antioxidants

– removes cell-damaging molecules (free radicals)

• Cell Regulators

– helps control growth of tumor cells

• Hormone Modulators

– mimic hormones or prevent production

Allylic Sulfides

• Garlic, onions, leeks, shallots, chives

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Allylic Sulfides (nutraceutical value)

• Stimulate enzymes that inhibit bacterial growth

• Lower blood pressure and cholesterol

levels

• Strengthen immune and cardiovascular

system

• Anti-growth activities for fungi and

parasites

• Cancer preventive properties

The most abundat allylic sulphide in garlic is allicin which represent 70% of all

the allylic sulphides in garlic, possessing antibacterial properties.

The immediate precursor of allicin is alliin, (+)-S-allyl-L-cysteine S-oxide.

Allicin is formed by action of the C-S lyase enzyme alliinase (released by

cutting or crushing garlic cloves) on the stable precursor alliin in 10 s at room

temperature!

Allylic Sulfides

Martins N et al. Food Chem 211:41-50 (2016)

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Stereochemical structure of the most representative bioactive

constituents from Allium sativum L

Allylic Sulfides

Garlic and blood pressure

High blood pressure is an important risk factor for cardiovascular disease and

is attributed to an estimated 70% of heart attacks, strokes, and chronic heart

failure .

Garlic supplements have shown promise in lowering blood pressure in several

meta-analyses .

Garlic contains a number of active sulfur compounds that modulate

endothelium-relaxing and -constricting factors, leading to blood pressure

reduction. Specifically, garlic has been shown to stimulate the production of

NO and hydrogen sulphide (H2S), both gasotransmitters leading to

vasorelaxation. In addition, garlic reduces the production of the

vasoconstricting factors endothelin 1 and angiotensin II.

Moreover, garlic regulates slightly elevated cholesterol concentrations,

and stimulates the immune system by increasing macrophage activity,

natural killer cells, and the production of T and B cells

Ried K. J Nutr 146:389S-396S (2016)

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Flavonoids

• Flavonoids (and bioflavonoids) are a class of plant secondary metabolites. The nameis coming from the Latin word flavus(yellow)

• Most fruits and vegetables, some intensely colored (blue to red colors in fruits, flowers, leaves)

• black and green tea, onions, red wine, and apples

Pan MH et al. Food Funct 1:15-31 (2010)

(A) flavones,

(B) flavonols,

(C) flavanols,

(D) flavanones,

(E) isoflavones,

(F) anthocyanidins.

Representative

natural flavonoids and

their dietary sources

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Flavonoids (nutraceutical value)

• black and green tea, onions, red wine, and apples protect against cholesterol damage

• More than 3 cups of (green) tea a day protects against heart disease

• lower the death rate from heart disease• help block carcinogenic effects of UVB radiation• reduces risks of cancers

Reduced risk of CVD

PeripheralPeripheral vascularvascular

and and cardiovascularcardiovascular

effectseffects of of flavonoidflavonoid

richrich foodsfoods

• Vasodilatio

• Blood pressure

• Insuline resistence

• Glucose tolerance

• Platelet reactivity

• Immune response

Spencer JPE. Proc. Nutr. Soc. 69:244 (2010)

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Anthocyanins

• Grapes, raspberries, blueberries, cherries, onions, blackberries, strawberries

• Red to purple pigments found in plants

Anthocyanins (from Greek ἀνθός (anthos) = flower and kυανός (kyanos) = blue)

constitute the largest and probably the most important group of water-soluble

plant pigments. They belong to the widespread flavonoid group of polyphenols,

which are responsible for the blue, purple and red colour of many plant tissues .

They are commonly glycosides at C3 position (esose and pentose)

Anthocyanins

Smeriglio A. Phytoterapy Res 30:1265-1286 (2016)

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Anthocyanins are rapidly absorbed in the stomach and small intestine and

appear in the bloodstream within a few minutes (6 to 20 min).

Anthocyanins appear to have a high organotropism as can readily cross the

blood–brain barrier. Anthocyanin accumulation has been demonstrated in the

eyes, suggesting that these compounds also readily cross the blood–retinal

barrier, which could justify the potential health effects of these substances to

these areas .

Numerous in vitro and in vivo studies suggest that anthocyanins may be

positively implicated in human health.

They exert different biological effects, and it seems that the consumption of

foods such as juices or other formulations rich in these compounds may be

correlated with antidiabetic and anti-obesity effects. These compounds may

also be useful as neuroprotective agents, in reducing inflammation and

exerting cardiovascular protection as well as in preventing and inhibiting

cancer growth.

Anthocyanins

Anthocyanis (nutraceutical value)

• Also known as flavonols

• Provide bridges that connect and

strengthen intertwined strands of collagen protein

– soft tissue, tendons, ligaments, bone matrix

– most abundant protein in the body

• Scavengers for free radicals

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BlondeBlonde or or RedRed??

Red oranges include three

particular cultivars of oranges

(Moro, Tarocco, Sanguinello)

grown only in Sicily and the island of Malta

With similar Vitamin C content

with blond oranges, their

nutraceutical value depends on

the presence of anthocyanins, which are absent in other

cultivars

BlondeBlonde or or RedRed??

Component Effect

Flavonoids Anti-inflammatory

Antioxidant

Antiproliferattive

Antocyanins Antioxidant

Antiproliferattive

Hydroxycinnamicacids

Antioxidant

Chemopreventive

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• Cruciferous vegetables

– scientific name for a group of plants whose four

petals resemble a cross.

– part of cabbage family (cabbage, broccoli,

cauliflower, brussels sprouts)

– release biological chemicals such as

isothiocyanates, organic cyanides

Glucosinolates

pH of intestinaltract

Glucosinolate:

Glucorafanine

Isotiocyanate:

Sulforaphane

Broccoli and Broccoli and coco……??

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• Activate liver detoxifying enzymes

• Block enzymes that promote tumor growth (liver, colon, lung, breast, stomach, esophagus)

• Increase enzyme activity involved in detoxifying carcinogens and other harmful substances

• Inhibit DNA damage that triggerscancer

Isothiocyanates (nutraceutical value)

Cytoprotection

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“Eat Your Vegetables”

• Mother was right when

she told you to “Eat

your vegetables.”

• When phytochemicalsare added to the diet,

the capacity of human

genes to protect and

restore optimal health

is far greater than previously recognized.

Your Diet Is Important

• People who consume little fat and eat

plant -rich, high-fiber diets have a lower

incidence of certain diseases, such as

cancer, heart disease, and diabetes.

• 70% of preventable cancers and 33% of

cancer deaths are attributed to dietary

factors.

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Diet Recommendations

• The mediterranean food pyramid

recommends at least 3-5 servings of

vegetables a day and 2-4 servings of fruit a

day.

• Eat around 5 different colored fruits and

vegetables a day.

• Also, increase the amount of fiber you are

getting.

Are There Alternatives?

• People who know they should eat more

fruits and veggies, but have trouble doing

so, question whether veggie pills and other supplements are beneficial.

• Are they none toxic?

– So far, evidence for supplements is far less convincing than fresh fruits and vegetables.

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Supplements, Less Than The Best

• Pills and powders try to mimic the

components of food, but are far less

successfull.

– Can never get all the known and unknown phytochemicals in a supplement.

– Some nutrients and fibers can be lost when concentrated into pill form

– Are more expensive.

Why Fruits and Veggies Win Over

• Nutraceuticals in fruits

and vegetables

overlap each other and

possibly have

interactive and sinergic

effects.

• Fruits and vegetables

help best to activate

the body’s own

disease-fighting

resources.

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You have to take a lot

of medicine if you want

to become as big as

your father Can I hope for

another alternative

if I take less?

“If I’d known I wasgoing to live this

long, I would havetaken better care of

myself.”

Eubie Blake

American ragtime musician

The day of The day of hishis 100 100 birthdaybirthday

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Silvana HreliaDepartment for Life Quality

[email protected]